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Voice and Internet services: Use our online form to apply for service, or print our PDF version and mail or fax it in.

* = required field.

Application For Telecom Source Service
*Last Name:
*First Name:
Company:
*P.O. Box, Street & No.:
*Postal Code & City:
*Contact Phone:
Fax:
*Email:
*Preferred method of payment:
*Type of phone connection:
Phone and Fax numbers to connect: (please specify all) Important: we need your name and telephone/fax numbers exactly as they appear on your Swisscom bill.

Service(s) applied for:
TELECOM: Pre-Selection: I wish to appoint Telecom Source as my pre-selected carrier of all national and international telecommunications made from the telephone number(s) listed above on this form. I herewith authorize Telecom Source to initiate, on my behalf, all actions required for this purpose. I also authorize Swisscom to immediately inform Telecom Source of any changes of my address and telephone number.
Call By Call: I wish to keep my current carrier and dial a 5-digit code before each call I make through Telecom Source.
INTERNET: ADSL Dial-up connection